Individual provider Active NPI

Manizeh Mirza-Gruber, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1659480747
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J4357 Issued in TX
Practice address
1 Haven for Hope Way
San Antonio, TX 78207-1266
Phone
(210) 261-1437
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J4357 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X J4357 TX

Addresses

Primary practice location

1 Haven for Hope Way
San Antonio, TX 78207-1266

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060

Other practice location 1

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

Other identifiers 1

IdentifierTypeStateIssuer
188429801MedicaidTX

Other names 1

  • Manizeh Mirza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000866 TX Practitioner - Psychiatry 4587753520 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Hope Foundation Inc CurrentSince Sep 20, 2025 Accepting new patients
St. Hope Foundation, Inc CurrentSince Sep 20, 2025 Accepting new patients
Collin County Mental Health Mental Retardation Center Psychiatry CurrentSince Jun 5, 2023 Accepting new patients
Jsa Health Texas, PLLC Psychiatry Past Accepting new patients

Locations

6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111

6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300

1515 Heritage Dr
Ste 105
McKinney, TX 75069
Phone (972) 562-0331

7308 Alma Dr
Plano, TX 75025
Phone (972) 422-5939

14815 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 277-8571

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1659480747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "210-261-1060",
            "fax_number": "210-261-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAVEN FOR HOPE WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071266",
            "telephone_number": "210-261-1437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA-GRUBER",
        "first_name": "MANIZEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J4357",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J4357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188429801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANIZEH",
            "last_name": "MIRZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.